Evidence map›Paper›PMID 42919920›Full record

ArticleSocial psychiatry and psychiatric epidemiology2026

The moderating effects of social norms and attitudes on the relationship between intimate partner violence and depressive symptoms among women in two provinces of Nepal.

Abbie Shervinskie, Alexandria Ree Hadd, Cari Jo Clark

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Article in Social psychiatry and psychiatric epidemiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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3 authors.

Abbie ShervinskieHubert Department of Global Health, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, Atlanta, GA, 30322, USA. abbie.shervinskie@gmail.com.ORCID https://orcid.org/0009-0005-6485-8799
Alexandria Ree HaddHubert Department of Global Health, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, Atlanta, GA, 30322, USA.ORCID http://orcid.org/0000-0002-7030-3088
Cari Jo ClarkHubert Department of Global Health, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, Atlanta, GA, 30322, USA.ORCID http://orcid.org/0000-0002-9959-5221

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6 · The paper itself

Abstract

purposeIntimate partner violence (IPV) is often associated with increased depressive symptoms. However, considerable variability exists in this relationship, from null findings to large effect estimates, likely due, in part, to differences in attitudes (thoughts and beliefs), descriptive norms (perceptions of what behaviors occur in a community), and injunctive norms (perceptions of what behaviors are acceptable in a community). In this study, we test the effect of individual- and community-level attitudes and norms on the IPV-depressive symptoms relationship.

methodsThe sample included 976 married women in 30 communities in Nepal. We measured depressive symptoms with the Patient Health Questionnaire and IPV with items adapted from the Revised Conflict Tactics Scale. We used generalized linear models to test seven moderators: individual-level attitudes (gender-inequitability and acceptability of husband abuse), an individual-level descriptive norms scale, and community-level proxies of injunctive norms (aggregated attitudes) and descriptive norms (aggregated IPV prevalence and descriptive norms scale).

resultsDescriptive norms significantly moderated the IPV-depressive symptoms relationship at both the individual and community level. The differences in depressive symptoms between women who did and did not experience IPV were stronger where violence was perceived to be less widespread. Individual-level attitudes and community-level injunctive norms proxies were not found to be significant moderators.

conclusionWhere IPV is less prevalent (or perceived as such), experiencing IPV may increase depressive symptoms, as the experience deviates from the prevailing norm. Research should continue to refine norms measurement and explore individual and contextual factors that impact the likelihood of negative mental health outcomes to inform prevention and response interventions.

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DepressionDescriptive normsDomestic violenceInjunctive normsMental healthPartner violence

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